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Patient cases

Multiple gingival recessions treated using the tunnel technique with a collagen matrix

Numerous techniques have been described for root coverage such as CAF (coronally advanced flap), pedunculated flaps, free gingival grafts and the tunnel technique, using either the simple flap or xenografts, allografts or autologous connective grafts, depending on the clinical case...

Esthetics
Hard & soft tissue management
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Patient cases

Treatment of multiple gingival recessions

A patient with multiple maxilla recessions, all attributable to an incongruous brushing complaining of an aesthetic deficit and radicular sensitivity. Composite reconstructions were performed in surgical procedures prior to surgery and collagen membrane.

Soft tissue management
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Patient cases

Gingival recession coverage with a xenogenic collagen matrix

 A 37-year-old patient, non-smoker and with absence of relevant systemic pathologies presented to the dental office with an esthetic gingival deficit and dentinal sensibility of the elements #16, #22, #24, #25 and #26 FDI (#3, #10, #12, #13, #14 and #15 US).

Soft tissue management
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Patient cases

Maxillary central incisor: Immediate implant placement and periodontal plastic surgery

A 37-year-old female patient presented with 5mm periodontal pocket in right central incisor with moderate periodontal inflammation. After CBCT scan was discovered external root resorption in the buccal aspect which condemned this element.

Esthetic zone prosthetics
Immediate implant placement
Anterior implants
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Patient cases

Management of an iatrogenic case following traumatic tooth extraction, bone graft and implant failure

A 30-year-old female patient who lost tooth #13 FDI (#6 US). She reported the traumatic extraction of the canine, which resulted in a significant vertical bone loss of 3 mm and an advanced horizontal lingual defect.

Anterior implants
Bone grafting and regeneration
Soft tissue management
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Patient cases

Guided Bone Regeneration next to mucogingival deformities: a minimally invasive surgical approach.

A 55-year-old female patient with missing maxillary premolars, class IV recession on the adjacent tooth, pneumatized sinus. She was treated with simultaneous sinus elevation, implant placement, guided bone regeneration, and soft tissue grafting.

Radiology
Posterior implants
Implants in compromised sites
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Patient cases

Restoration of a ‘Failing’ Tooth with an Implant in the Aesthetic Zone

A 41-year-old female patient with a failing post crown in tooth #21 FDI (#9 US) with root fracture and infection, the treatment involved implant placement with GBR and soft tissue augmentation. 

CAD/CAM
Immediate implant placement
Anterior implants
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Patient cases

Immediate Implant Placement and Provisionalization of the central incisors

A 26-year-old female patient is treated following the "MeteenDoor"- protocol. This Dutch protocol includes the placement of a bone substitute simultaneously with Immediate Implant Placement and Provisionalization (IIPP) reducing the horizontal buccal bone changes.

CAD/CAM
Immediate implant placement
Anterior implants
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Patient cases

Anterior single implant in the esthetic zone

A 32-year-old patient with missing central and lateral incisor presented significant loss of hard and soft tissues, and the midline deviated to the left. A Porcelain-fused-to-metal crown over implant with a GBR and a collagen membrane on #21 FDI (#9 US) was chosen.

Guided Surgery
Anterior implants
Implants in compromised sites
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Patient cases

Immediate implant placement to replace deciduous teeth followed by orthodontic treatment.

A 26-year-old female patient wanted to have her teeth straightened. This clinical case describes the extractions of the lower deciduous second molars, followed by immediate implant placement. After the completion of the orthodontic treatment the final restorations were placed.

CAD/CAM
Immediate implant placement
Posterior implants
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Patient cases

Horizontal and vertical ridge augmentation of a knife-edge ridge

A 54-year-old man presented with missing right lower teeth and ridge deficiency. Horizontal and vertical augmentation by GBR (Guided Bone Regeneration) was carried out using the “Tenting Screw Technique”. Two implants and a free gingival graft were placed.

CAD/CAM
Posterior implants
Implants in compromised sites
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Patient cases

Implant placement due to root fracture of a non-vital tooth

A 53-year-old female patient with #22 FDI (#10 US), which was endodontically treated and discolored, was esthetically unpleasing. The tooth was hopeless due to root fracture. A treatment plan was formulated to replace the non-vital tooth with an implant.

CAD/CAM
Anterior implants
Implants in compromised sites
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Patient cases

A novel approach for soft tissue management in the anterior region

A 33-year-old male patient's chief complaint was a missing lateral incisor which had been extracted several years earlier. A one-stage implant procedure simultaneous to connective tissue grafting and the use of a slim healing abutment was planned.

CAD/CAM
Anterior implants
Soft tissue management
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Patient cases

Implant placement in a patient with congenitally missing upper lateral incisors

A 40-year-old male patient presented with agenesis of both upper lateral incisors and a Class III skeletal malocclusion. The treatment selected was: Orthodontic treatment, Implant placement #12 and #22 FDI  (#7 and #10 US).

Radiology
Anterior implants
Soft tissue management
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Patient cases

Implant placement and guided bone regeneration in the anterior area of the mandible

A 55-year-old male patient desired replacement of a previously extracted, missing lower canine #43 FDI (#27 US) which had not been previously restored. The treatment option was the placement of an implant with horizontal and vertical bone augmentation.

Radiology
Guided Surgery
CAD/CAM